Code Edit Disputes Medical Coder
Core
Reviews and educates providers on adjudicated claims containing code editing denials or financial recovery opportunities; extracts clinical information from medical records to assign procedural terminology and medical codes.
Role type
Senior Medical Coding Coordinator (IC)
Builds
Accurate medical coding for Medicare and Medicaid claims
Domain
Healthcare / Medical Billing & Coding
Required skills
ICD-10-CM coding, CPT coding, Medicare guidelines, Medicaid guidelines, complex problem-solving, data entry, Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft Teams
Preferred skills
MS-DRG auditing, APR auditing, production environment experience
Technologies
ICD-10-CM, CPT, Microsoft Office Suite
Responsibilities
Extract clinical information from medical records, assign appropriate procedural terminology and medical codes, analyze and manipulate databases, respond to internal requests for medical information, educate providers on code editing disputes
Seniority
Mid-Senior level, independent initiative